<table cellpadding="4" cellspacing="0" class="wdform_table1" style="border-top:0px solid black;"><tbody id="form_id_tempform_view1" class="wdform_tbody1" page_title="Untitled page" next_title="Next" next_type="button" next_class="wdform_page_button" next_checkable="false" previous_title="Previous" previous_type="button" previous_class="wdform_page_button" previous_checkable="false"><tr class="wdform_tr1"><td class="wdform_td1"><table class="wdform_table2"><tbody class="wdform_tbody2"><tr id="1" type="type_editor"><td id="1_element_sectionform_id_temp" align="left" valign="top" colspan="2" class="toolbar_padding"><h2 id="header_21">Restaurant Evaluation Survey</h2>
<div id="subHeader_21">Please let us know how was the food and service.</div><br></td></tr><tr id="2" type="type_date"><td valign="middle" align="left" id="2_label_sectionform_id_temp" class=""><span id="2_element_labelform_id_temp" class="label">Day Visited:</span><span id="2_required_elementform_id_temp" class="required"></span></td><td valign="middle" align="left" id="2_element_sectionform_id_temp" class=" toolbar_padding"><input type="hidden" value="type_date" name="2_typeform_id_temp" id="2_typeform_id_temp"><input type="hidden" value="no" name="2_requiredform_id_temp" id="2_requiredform_id_temp"><input type="text" value="" class="wdform_date" id="2_elementform_id_temp" name="2_elementform_id_temp" maxlength="10" size="10" onchange="change_value('2_elementform_id_temp')"><input id="2_buttonform_id_temp" type="reset" value="..." format="%Y-%m-%d" onclick="return showCalendar('2_elementform_id_temp' ,'%Y-%m-%d')" class="button"></td></tr><tr id="3" type="type_radio"><td valign="top" align="left" id="3_label_sectionform_id_temp" class=""><span id="3_element_labelform_id_temp" class="label"><b>Dine In / Take Out:</b></span><span id="3_required_elementform_id_temp" class="required"></span></td><td valign="top" align="left" id="3_element_sectionform_id_temp" class=" toolbar_padding"><input type="hidden" value="type_radio" name="3_typeform_id_temp" id="3_typeform_id_temp"><input type="hidden" value="no" name="3_requiredform_id_temp" id="3_requiredform_id_temp"><input type="hidden" value="no" name="3_randomizeform_id_temp" id="3_randomizeform_id_temp"><input type="hidden" value="no" name="3_allow_otherform_id_temp" id="3_allow_otherform_id_temp"><table><tbody id="3_table_little"><tr id="3_element_tr0"><td valign="top" id="3_td_little0" idi="0"><input type="radio" id="3_elementform_id_temp0" name="3_elementform_id_temp" value="Dine In" onclick="set_default('3','0','form_id_temp')"><label id="3_label_element0" class="ch_rad_label" for="3_elementform_id_temp0">Dine In</label></td></tr><tr id="3_element_tr1"><td valign="top" id="3_td_little1" idi="1"><input type="radio" id="3_elementform_id_temp1" name="3_elementform_id_temp" value="Take Out" onclick="set_default('3','1','form_id_temp')"><label id="3_label_element1" class="ch_rad_label" for="3_elementform_id_temp1">Take Out</label></td></tr></tbody></table></td></tr><tr id="4" type="type_radio"><td valign="top" align="left" id="4_label_sectionform_id_temp" class=""><span id="4_element_labelform_id_temp" class="label"><b>Food Quality:</b></span><span id="4_required_elementform_id_temp" class="required"></span></td><td valign="top" align="left" id="4_element_sectionform_id_temp" class=" toolbar_padding"><input type="hidden" value="type_radio" name="4_typeform_id_temp" id="4_typeform_id_temp"><input type="hidden" value="no" name="4_requiredform_id_temp" id="4_requiredform_id_temp"><input type="hidden" value="no" name="4_randomizeform_id_temp" id="4_randomizeform_id_temp"><input type="hidden" value="no" name="4_allow_otherform_id_temp" id="4_allow_otherform_id_temp"><table><tbody id="4_table_little"><tr id="4_element_tr0"><td valign="top" id="4_td_little0" idi="0"><input type="radio" id="4_elementform_id_temp0" name="4_elementform_id_temp" value="Excellent" onclick="set_default('4','0','form_id_temp')"><label id="4_label_element0" class="ch_rad_label" for="4_elementform_id_temp0">Excellent</label></td></tr><tr id="4_element_tr1"><td valign="top" id="4_td_little1" idi="1"><input type="radio" id="4_elementform_id_temp1" name="4_elementform_id_temp" value="Good" onclick="set_default('4','1','form_id_temp')"><label id="4_label_element1" class="ch_rad_label" for="4_elementform_id_temp1">Good</label></td></tr><tr id="4_element_tr2"><td valign="top" id="4_td_little2" idi="2"><input type="radio" id="4_elementform_id_temp2" name="4_elementform_id_temp" value="Average" onclick="set_default('4','2','form_id_temp')"><label id="4_label_element2" class="ch_rad_label" for="4_elementform_id_temp2">Average</label></td></tr><tr id="4_element_tr3"><td valign="top" id="4_td_little3" idi="3"><input type="radio" id="4_elementform_id_temp3" name="4_elementform_id_temp" value="Dissatisfied" onclick="set_default('4','3','form_id_temp')"><label id="4_label_element3" class="ch_rad_label" for="4_elementform_id_temp3">Dissatisfied</label></td></tr></tbody></table></td></tr><tr id="5" type="type_radio"><td valign="top" align="left" id="5_label_sectionform_id_temp" class=""><span id="5_element_labelform_id_temp" class="label"><b>Speed of Service:</b></span><span id="5_required_elementform_id_temp" class="required"></span></td><td valign="top" align="left" id="5_element_sectionform_id_temp" class=" toolbar_padding"><input type="hidden" value="type_radio" name="5_typeform_id_temp" id="5_typeform_id_temp"><input type="hidden" value="no" name="5_requiredform_id_temp" id="5_requiredform_id_temp"><input type="hidden" value="no" name="5_randomizeform_id_temp" id="5_randomizeform_id_temp"><input type="hidden" value="no" name="5_allow_otherform_id_temp" id="5_allow_otherform_id_temp"><table><tbody id="5_table_little"><tr id="5_element_tr0"><td valign="top" id="5_td_little0" idi="0"><input type="radio" id="5_elementform_id_temp0" name="5_elementform_id_temp" value="Excellent" onclick="set_default('5','0','form_id_temp')"><label id="5_label_element0" class="ch_rad_label" for="5_elementform_id_temp0">Excellent</label></td></tr><tr id="5_element_tr1"><td valign="top" id="5_td_little1" idi="1"><input type="radio" id="5_elementform_id_temp1" name="5_elementform_id_temp" value="Good" onclick="set_default('5','1','form_id_temp')"><label id="5_label_element1" class="ch_rad_label" for="5_elementform_id_temp1">Good</label></td></tr><tr id="5_element_tr2"><td valign="top" id="5_td_little2" idi="2"><input type="radio" id="5_elementform_id_temp2" name="5_elementform_id_temp" value="Average" onclick="set_default('5','2','form_id_temp')"><label id="5_label_element2" class="ch_rad_label" for="5_elementform_id_temp2">Average</label></td></tr><tr id="5_element_tr3"><td valign="top" id="5_td_little3" idi="3"><input type="radio" id="5_elementform_id_temp3" name="5_elementform_id_temp" value="Dissatisfied" onclick="set_default('5','3','form_id_temp')"><label id="5_label_element3" class="ch_rad_label" for="5_elementform_id_temp3">Dissatisfied</label></td></tr></tbody></table></td></tr><tr id="6" type="type_textarea"><td colspan="2" id="6_label_and_element_sectionform_id_temp" class="toolbar_padding"><table id="6_elemet_tableform_id_temp"><tbody><tr><td valign="top" align="left" id="6_label_sectionform_id_temp" class=""><span id="6_element_labelform_id_temp" class="label"><b>Any comments, questions or suggestions?</b></span><span id="6_required_elementform_id_temp" class="required"></span></td></tr><tr><td valign="top" align="left" id="6_element_sectionform_id_temp" class=""><input type="hidden" value="type_textarea" name="6_typeform_id_temp" id="6_typeform_id_temp"><input type="hidden" value="no" name="6_requiredform_id_temp" id="6_requiredform_id_temp"><input type="hidden" value="no" name="6_uniqueform_id_temp" id="6_uniqueform_id_temp"><textarea style="width: 300px; height: 100px;" class="input_deactive" id="6_elementform_id_temp" name="6_elementform_id_temp" title="" value="" onfocus="delete_value('6_elementform_id_temp')" onblur="return_value('6_elementform_id_temp')" onchange="change_value('6_elementform_id_temp')"></textarea></td></tr></tbody></table></td></tr><tr id="7" type="type_submit_reset"><td colspan="2" class="toolbar_padding" id="7_label_and_element_sectionform_id_temp"><table id="7_elemet_tableform_id_temp"><tr><td valign="middle" align="left" id="7_label_sectionform_id_temp" style="display: none;" class=""><span id="7_element_labelform_id_temp" style="display: none;">type_submit_reset_7</span></td><td valign="middle" align="left" id="7_element_sectionform_id_temp" class=""><input type="hidden" value="type_submit_reset" name="7_typeform_id_temp" id="7_typeform_id_temp"><button type="button" class="button_submit" id="7_element_submitform_id_temp" value="Submit" onclick="check_required('submit', 'form_id_temp');">Submit</button><button type="button" class="button_reset" style="display: none;" id="7_element_resetform_id_temp" value="Reset" onclick="check_required('reset');">Reset</button></td></tr></table></td></tr></tbody></table></td></tr><tr class="wdform_footer"><td colspan="100" valign="top"><table width="100%" style="padding-right:170px"><tbody><tr id="form_id_temppage_nav1"></tr></tbody></table></td></tr></tbody></table>